Individual provider · Type 1 NPI

Jennifer Fazio, LMSW

Clinical Social Worker · Lake Grove, NY

NPI number 1245635259 Active

Practice location

2233 Nesconset Hwy, Suite 104
Lake Grove, NY 11755-1000

Fax (631) 737-0001

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	091960 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1245635259

Jennifer Fazio, LMSW's National Provider Identifier is 1245635259, issued on Nov 3, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Grove, NY. The record was last updated on Nov 3, 2014.